Form ID

Publication date

Location of premises

Certificate

Contract No. PW-10-31 (P) Joe Sam's Leisure Park (Centre Road at Concession 5 E) Park Development Phase 2, in the City of Hamilton

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Hamilton
Address of Owner
77 James St. N., Suite 320, Hamilton, ON L8R 2K3
Name of Contractor
Octavio Ciccarelli & Son Contracting Ltd.
Address of Contractor
807 Garner Road East, Ancaster, ON L9G 3K9
Name of Certifier
A.J. Cameracci, P. Eng., Urbex Engineering Limited
Address of Certifier
77 James St. N., Suite 320, Hamilton, ON L8R 2K3

Office to which claim for lien must be given to preserve lien

City Clerk's Department, 71 Main Street W., 1st Floor, Hamilton, Ontario L8P 4Y5